Presentation
Two new cases of the Ganser syndrome are presented, and an additional forty-one case reports are reviewed. [ncbi.nlm.nih.gov]
Entire Body System
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Hunting
We wanted to go hunting, and we unhitched our horses. Q. How many noses do you have? A. I don't know Q. Have you any nose at all? A. I do not know if I have a nose. Q. Have you eyes? A. I have no eyes. Q. How many fingers do you have? A. 11 Q. [emedicine.com]
Neurologic
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Neglect
The neglect of Ganser syndrome. American Journal of Psychiatry, 143, 937–938. Google Scholar Doty, W. G. (1993). A lifetime of trouble-making: Hermes as trickster. In W. J. Hynes & W. G. [doi.org]
Although the formulation of these criteria have been valuable in educating people in the field, their use as a tool has been somewhat limited due to the unclear nature of which criteria are necessary for the diagnosis, and the neglect of certain features [emedicine.com]
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Flaccid Paralysis
paralysis, and a profound sensory loss that was impervious to pin prick or open flame." [doi.org]
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Fluctuating Level of Consciousness
The fluctuating level of consciousness with defects of memory is characteristic for acute hysterical mental illness ... it characterises the syndrome as a hysterical twilight state.2 In a second lecture published in 1992, Ganser added to his clinical [doi.org]
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Meningism
Meningitis. Münchhausen's syndrome. Drug intoxication. Malingering. [patient.info]
These include computer tomography scans (CT) or magnetic resonance imaging (MRI) scans to exclude structural pathology, lumbar puncture to exclude meningitis or encephalitis, and electroencephalography (EEG), to exclude delirium or seizure disorder.Diagnosing [en.wikipedia.org]
Treatment
The case is unusual in the age of the patient and the failure to respond to treatment including prolonged hospitalization. [ncbi.nlm.nih.gov]
The primary treatment for factitious disorders is psychotherapy (a type of counseling). Treatment likely will focus on changing the thinking and behavior of the individual with the disorder (cognitive-behavioral therapy). [personalitydisorders.wordpress.com]
However, it may be helpful to start treatment in people as soon as they begin to have symptoms -Primary treatment for factitious disorders is psychotherapy [mindmeister.com]
Treatment of the ganser's syndrome The main point in the treatment of Ganzer's syndrome is the elimination of the initial traumatic situation of the psyche, as well as the patient's belief that he will be helped. [iliveok.com]
Prognosis
More publications are needed on GS to clarify its nature and investigate its treatment and uncertain prognosis. [ncbi.nlm.nih.gov]
The prognosis is uncertain. The present report is of a 40-year-old Thai male with symptoms of clouding of consciousness, approximate answers to simple questions, reported auditory hallucinations and somatic delusions. [insights.ovid.com]
Prognosis[2] If the precipitating stress has been withdrawn, symptoms usually resolve spontaneously within days but there is usually no recollection of the illness. Sometimes severe depression follows. [patient.info]
What is the prognosis (outlook) for people with factitious disorders? Some people with factitious disorders suffer one or two brief episodes of symptoms. [personalitydisorders.wordpress.com]
Forecast The prognosis for patients with Ganser's syndrome is considered favorable, as recovery is usually expected for several days. [iliveok.com]
Etiology
The etiology of Ganser syndrome remains unknown. Some precipitating stressors have been reported and in other cases patients have had organic brain syndrome. [insights.ovid.com]
Etiological, epidemiological and diagnostic issues have never been resolved for Ganser's syndrome. [ncbi.nlm.nih.gov]
Questions about its etiology, definition, and classification, as well as its status as a true mental illness versus a specific form of malingering has been the subject of multiple journal articles and book chapters. 3/5 Ganser Syndrome and the DSM-III [psychnet-uk.com]
Etiological factors include personal conflicts, organic brain syndromes, and child abuse. [hindawi.com]
The sources that classify the syndrome as a dissociative disorder or a factitious disorder, conflict in their proposed etiologies. As a result, there are a number of theories as to why the syndrome develops. [en.wikipedia.org]
Epidemiology
CONCLUSIONS: While no epidemiologic conclusions can be drawn from the data, clinicians should, nevertheless, be alert to the possibility of patients presenting with Ganser syndrome following TBI. [ncbi.nlm.nih.gov]
Epidemiology Ganser's syndrome is said to be very rare with fewer than 100 cases in the literature.[2]The precise incidence is not known, as most of the recorded cases in the literature describe only individual patients and criteria are lax. [patient.info]
Etiological, epidemiological and diagnostic issues have never been resolved for Ganser's syndrome. [karger.com]
Epidemiology Ganser's syndrome in everyday life is much less common than in the prison environment. With this syndrome, young people 16-18 years old are more likely to suffer. Cases of disease in older age is much less. [iliveok.com]
Pathophysiology
Therefore, coexistence of hysterical dissociation and an organic lesion is pathophysiologically understandable. Such cases call for a collaborative approach to management, especially when there is an associated emotional component. 1. Whitlock FA. [indianjpsychiatry.org]
Prevention
Can Ganser Syndrome Be Prevented? There is no known way to prevent this condition. [webmd.com]
Prevention In order to avoid the re-development of Ganzer's syndrome, it is recommended to adhere to several preventive rules: periodically take a course of preventive treatment from a neurologist, taking medications according to the symptoms; observe [iliveok.com]
Can factitious disorders be prevented? There is no known way to prevent factitious disorders. However, it may be helpful to start treatment in people as soon as they begin to have symptoms. Cleveland Clinic Foundation [personalitydisorders.wordpress.com]
Simple memory tests and the existence of symptoms not typical of the syndrome were used to exclude the syndrome.[7] Management[2] Admission to a psychiatric unit in the acute phase is usually required for assessment and to prevent harm to self or to others [patient.info]